CE: Managing Pain in Critically Ill Adults: A Holistic Approach
| Autor: | Sarah A Delgado |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Critical Care Sedation Critical Illness MEDLINE Pain Guidelines as Topic Critical Care Nursing law.invention 03 medical and health sciences Analgesic therapy law Managing pain Critical care nursing medicine Humans Pain Management Intensive care medicine General Nursing 030504 nursing business.industry Critically ill General Medicine Intensive care unit Analgesics Opioid Intensive Care Units Delirium medicine.symptom 0305 other medical science business |
| Zdroj: | The American journal of nursing. 120(5) |
| ISSN: | 1538-7488 |
| Popis: | Nurses caring for critically ill adults are challenged to balance patient comfort with the risk of complications associated with analgesic therapy. Evidence gathered since 2013, when the Society of Critical Care Medicine (SCCM) published the Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit, known as the PAD guidelines, gave rise to the SCCM 2018 publication of the Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU, known as the PADIS guidelines. This article discusses how the PADIS guidelines go beyond the PAD guidelines, providing specific guidance related to risk factors for pain, the assessment and management of pain in critical illness, and the ways in which the experience of pain in critical illness is intertwined with that of agitation, delirium, immobility, and sleep disruption. Tables summarize the key points in the PADIS guidelines, clarify the distinctions between PADIS and PAD, and describe the implications for nurses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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